QUESTIONNAIRE FOR INSTRUCTORS

NAME:__________________________________________

AGE:______ SEX:__________ CIVIL STATUS:____________

Part I- Profile of Instructors

1. What is your highest educational attainment?

____ Bachelor’s Degree ____ Masters ____ Doctorate

2. Position? ___Faculty Member ___Coordinator ___Dep’t Head

3. How many years have you been in the actual practice of Nursing?

___1-3 years ___7-9 years ___4-6 years ___10- or more

4. How many years have you been teaching in the nursing profession?

___1-3 years ___7-9 years ___4-6 years ___10- or more

Part II- Perceived teaching competency

Rate yourself accordingly. Encircle the number that corresponds to your perception. Kindly give your honest response to
the following statements.
Very Seldom

Occasionally

(or Always)
Very Often
(or Never)

Seldom

Often

1. I express pleasure with class. 1 2 3 4 5

2. I Show lack of respect to students. 1 2 3 4 5
3. I Choose inappropriate readings for the course. 1 2 3 4 5
4. I make a special effort to learn students’ names. 1 2 3 4 5
5. I am unprepared for my class/es. 1 2 3 4 5
6. I Demonstrate lack of enthusiasm for the course. 1 2 3 4 5
7. I explain grading procedures. 1 2 3 4 5
8. I share out-of-class experience. 1 2 3 4 5
9. I come to class late. 1 2 3 4 5
10. I use a variety of methods to help students learn. 1 2 3 4 5
11. I answer questions rise in class correctly. 1 2 3 4 5
12. I am slow in evaluating students’ work. 1 2 3 4 5
13. I have difficulty in guiding class discussion. 1 2 3 4 5
14. I use tests to evaluate what students should learn (course 1 2 3 4 5
objectives).
15. I involve students in decision- making processes 1 2 3 4 5
16. I demonstrate an up-to-date knowledge of course content. 1 2 3 4 5
17. I am impolite to students. 1 2 3 4 5
18. I promote a trusting atmosphere. 1 2 3 4 5
19. I am difficult to talk with. 1 2 3 4 5
20. I fail to summarize major points of each lesson at the end of 1 2 3 4 5
class.
21. I treat students as though they are irresponsible. 1 2 3 4 5
22. I express appreciation for students’ presence in the class. 1 2 3 4 5
23. I act unfriendly towards students. 1 2 3 4 5
24. I end class period on time 1 2 3 4 5
25. I provide an overview of each lesson. 1 2 3 4 5
26. I appear to enjoy life. 1 2 3 4 5
27. I show sensitivity to the needs of students. 1 2 3 4 5
28. I work to encourage students’ self-confidence. 1 2 3 4 5
29. I present understandable class objectives. 1 2 3 4 5
30. I look students in the eye when talking with them. 1 2 3 4 5
31. I show insensitivity to the feelings of students. 1 2 3 4 5
32. I take little or no time to talk to students about their out-of- 1 2 3 4 5
class activities.
33. I exhibit sense of humor. 1 2 3 4 5
34. I pause for several seconds after asking a question. 1 2 3 4 5
35. I speak unclearly. 1 2 3 4 5
36. I present course content in a disorganized manner. 1 2 3 4 5
37. I ask questions to stimulate thinking. 1 2 3 4 5
38. I do not help students having special problems. 1 2 3 4 5
39. I expect successful academic performance from students. 1 2 3 4 5
40. I am unwilling to express a lack of knowledge on a subject 1 2 3 4 5
matter.
41. I present a smooth transition from one topic to another. 1 2 3 4 5
42. I use class time efficiently. 1 2 3 4 5
43. I evaluate students’ work unfairly. 1 2 3 4 5

Based from the Invitational Teaching Survey (ITS)- Amos,

Smith, Purkey 2004

Part III- Implications

A. ACCREDITATION. Give your honest opinion on the implication of instructor’s teaching competencies on the
accreditation of the School of Health Sciences (SHS). Encircle the letter that corresponds to your perception.

If the instructors are competent the School of Arts and Sciences

Strongly

Strongly
disagree

disagree

disagree
will…..

agree
1. have a greater chance to be accredited by a reputable accrediting 1 2 3 4
agency
2. attain a higher level of accredited status 1 2 3 4
3. will gain high level and prestige 1 2 3 4
4. be more competitive with other universities offering same 1 2 3 4
courses offered by the school
5. allow more students to enroll in the University 1 2 3 4

B. PROMOTION. Follow instructions from item A. Give your honest opinion on the implications of your teaching
competencies on your promotion. Encircle the number that corresponds to your perception.

If I am a competent instructor….
Strongly

Strongly
disagree

disagree

disagree
agree

1. I will have the chance to be promoted to higher academic levels. 1 2 3 4

2. I can qualify to be the Dean of the School of Arts and Sciences. 1 2 3 4
3. I can qualify to be the Department Head/Coordinator of our 1 2 3 4
department
Name of Instructor:______________________________________________
QUESTIONNAIRE FOR STUDENTS
Part I- Perceived teaching competency

Rate your instructor accordingly. Encircle the letter that corresponds to your perception. Kindly give your honest response to the following statements.

The Instructor

Very Seldom (or

Occasionally

(or Always)
Very Often
Seldom
Never)

Often
1. Expresses pleasure with class. 1 2 3 4 5
2. Shows lack of respect to students. 1 2 3 4 5
3. Chooses inappropriate readings for the course. 1 2 3 4 5
4. Makes a special effort to learn students’ names. 1 2 3 4 5
5. Is unprepared for the class. 1 2 3 4 5
6. Demonstrates lack of enthusiasm for the course. 1 2 3 4 5
7. Explains grading procedures. 1 2 3 4 5
8. Shares out-of-class experience. 1 2 3 4 5
9. Comes to class late. 1 2 3 4 5
10. Uses a variety of methods to help students learn. 1 2 3 4 5
11. Answers questions rise in class correctly. 1 2 3 4 5
12. Is slow evaluating students’ work. 1 2 3 4 5
13. Has difficulty in guiding class discussion. 1 2 3 4 5
14. Uses tests to evaluate what students should learn (course objectives). 1 2 3 4 5
15. Involves students in decision- making processes 1 2 3 4 5
16. Demonstrates an up-to-date knowledge of course content. 1 2 3 4 5
17. Is impolite to students. 1 2 3 4 5
18. Promotes a trusting atmosphere. 1 2 3 4 5
19. Is difficult to talk with. 1 2 3 4 5
20. Fails to summarize major points of each lesson at the end of class. 1 2 3 4 5
21. Treats students as though they are irresponsible. 1 2 3 4 5
22. Expresses appreciation for students’ presence in the class. 1 2 3 4 5
23. Acts unfriendly towards students. 1 2 3 4 5
24. Ends class period on time 1 2 3 4 5
25. Provides an overview of each lesson. 1 2 3 4 5
26. Appears to enjoy life. 1 2 3 4 5
27. Shows sensitivity to the needs of students. 1 2 3 4 5
28. Works to encourage students’ self-confidence. 1 2 3 4 5
29. Presents understandable class objectives. 1 2 3 4 5
30. Looks students in the eye when talking with them. 1 2 3 4 5
31. Shows insensitivity to the feelings of students. 1 2 3 4 5
32. Takes little or no time to talk to students about their out-of-class activities. 1 2 3 4 5
33. Exhibits a sense of humor. 1 2 3 4 5
34. Pauses for several seconds after asking a question. 1 2 3 4 5
35. Speaks unclearly. 1 2 3 4 5
36. Presents course content in a disorganized manner. 1 2 3 4 5
37. Asks questions to stimulate thinking. 1 2 3 4 5
38. Is unwilling to help students having special problems. 1 2 3 4 5
39. Expects successful academic performance from students. 1 2 3 4 5
40. Is unwilling to express a lack of knowledge on a subject matter. 1 2 3 4 5
41. Presents a smooth transition from one topic to another. 1 2 3 4 5
42. Uses class time efficiently. 1 2 3 4 5
43. Evaluates students’ work unfairly. 1 2 3 4 5
Based from the Invitational Teaching Survey (ITS)- Amos, Smith, Purkey 2004

Part II- Implications

A. ACCREDITATION. Give your honest opinion on the implication of instructor’s teaching competencies on the accreditation of the School of Health Sciences (SHS).
Encircle the number that corresponds to your perception.
If the instructors are competent the School of Arts and Sciences will…..
Strongly

Strongly
disagree

disagree

disagree
agree

1. have a greater chance to be accredited by a reputable accrediting agency 1 2 3 4

2. attain a higher level of accredited status 1 2 3 4

3. will gain high level and prestige 1 2 3 4

4. be more competitive with other universities offering same courses offered by 1 2 3 4

the school
5. allow more students to enroll in the University 1 2 3 4

B. PROMOTION. Follow instructions from item A. Give your honest opinion on the implications of your teaching competencies on the promotion of your instructor.
Encircle the number that corresponds to your perception.
If the Instructor is competent instructor….
Strongly

Strongly
disagree

disagree

disagree
agree

1. He/she will have the chance to be promoted to higher academic levels. 1 2 3 4

2. He/she can qualify to be the Dean of the School of Arts and Sciences. 1 2 3 4
3. He/she can qualify to be the Department Head of his/her department. 1 2 3 4